الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Dupuytren’s Disease and burn are Major causes of hand contracture. Ultimate result of a contracture at a joint site leads to reduction of AROM of the joint which restricts movements of extremities. The minimally invasive treatment of hand contracture includes Needle aponeurotomy, Steroid injection and Collagenase injection. They characterized by short recovery period but with higher recurrence rate.
The surgical techniques includes Limited or selective fasciectomy and Segmental fasciectomy for Dupuytren contracture and local flap rearrangement for linear post-burn contractures. They provide a better long term result but show higher complication rates.
A trial to bypass the high recurrence rate after minimally-invasive techniques a new technique was developed which has two components, extensive percutaneous aponeurotomy followed by lipofilling of expanded tissue.
The advances in ultrasound technology makes it possible to study with a non-invasive, fast and low-cost technique the subcutaneous tissue, to achieve a preoperative planning and to confirm the effectiveness of the surgical technique used.